Individual
ROBERT W NENTWICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
850 N MAIN ST, SUITE 3, RICHFIELD, UT 84701-1841
(435) 896-9561
(435) 896-9564
Mailing address
850 N MAIN ST, SUITE 3, RICHFIELD, UT 84701-1841
(435) 896-9561
(435) 896-9564
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101800-1206
UT
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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